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Patrick R Blevins , BCBA

Behavior Analyst β€’ Albuquerque, NM

Active NPI 1083920417 Individual Practitioner Male Practitioner
Practice location in NPPES

2300 Menaul Blvd Ne
Albuquerque, NM 871071851

Call 5052722611 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2300 Menaul Blvd Ne

Albuquerque, NM 871071851

Telephone 5052722611
Organization at the Same NPPES Address or Phone
Unm Focus Program Facility NPI 1558411769

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Albuquerque, NM. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Albuquerque and New Mexico

605 active clinicians are listed under Behavior Analyst with a practice address in Albuquerque, NM (1,004 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Albuquerque

0.2% of these 605 clinicians have the CMS telehealth indicator.

0.2% of these 605 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NM 1-15-19141

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1713 Calle Los Vecinos Nw

Albuquerque, NM 871072803

Phone: 5052069646

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Jory Mazzola

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1255537593
Dara Zafran

Psychologist

NPI 1396978490

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 11, 2021

Registered at 2300 MENAUL BLVD NE, ALBUQUERQUE, NM 871071851 (Tel: 5052722611)

πŸ‘€
Provider Name / Credentials Updated August 11, 2021

Recorded as PATRICK BLEVINS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Behavior Analyst (license number reported to NPPES: NM 1-15-19141)

πŸ”„
NPI Profile Reactivated March 29, 2016

Record officially reactivated for active practice on March 29, 2016

πŸ“
Practice Location (Initial Record) March 29, 2016

Registered at 1713 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 871072803 (Tel: 5052069646)

πŸ“
Business Mailing Address (Initial Record) March 29, 2016

Registered at 1713 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 871072803

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2016

Recorded as PATRICK BLEVINS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Behavior Analyst

⚠️
NPI Profile Deactivated April 20, 2015

NPPES lists this NPI as deactivated as of April 20, 2015; the reason is not published.

🟒
Initial NPI Registration & Enumeration August 23, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083920417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2010
Last Update: August 11, 2021
Sole Proprietor: Yes

Mailing Address

1713 Calle Los Vecinos Nw

Albuquerque, NM 871072803

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.